Q. When planning care for a client with a head injury, which position should the nurse include in the care plan to enhance client outcomes?
A. Trendelenburg's
B. 30-degree head elevation
C. Flat
D. Side-lying
Correct Answer: B
Reason: For clients with increased intracranial pressure (ICP), the head of the bed should be elevated to 30 degrees to promote venous outflow. Trendelenburg's position is contraindicated because it can raise ICP. Flat or neutral positioning is indicated when elevating the head of the bed would increase the risk of neck injury or airway obstruction. A side-lying position isn't specifically a therapeutic treatment for increased ICP.
A. Trendelenburg's
B. 30-degree head elevation
C. Flat
D. Side-lying
Correct Answer: B
Reason: For clients with increased intracranial pressure (ICP), the head of the bed should be elevated to 30 degrees to promote venous outflow. Trendelenburg's position is contraindicated because it can raise ICP. Flat or neutral positioning is indicated when elevating the head of the bed would increase the risk of neck injury or airway obstruction. A side-lying position isn't specifically a therapeutic treatment for increased ICP.
0 comments:
Post a Comment